A Systematic Assessment of the Use of Platelet-Rich Plasma in Spinal Fusion
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  • 作者:Benjamin D. Elder ; Christina Holmes ; C. Rory Goodwin…
  • 关键词:Growth factors ; Bone regeneration ; Scaffold ; Tissue engineering ; TGF ;
  • 刊名:Annals of Biomedical Engineering
  • 出版年:2015
  • 出版时间:May 2015
  • 年:2015
  • 卷:43
  • 期:5
  • 页码:1057-1070
  • 全文大小:601 KB
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  • 作者单位:Benjamin D. Elder (1)
    Christina Holmes (1)
    C. Rory Goodwin (1)
    Sheng-Fu Lo (1)
    Varun Puvanesarajah (1)
    Thomas A. Kosztowski (1)
    John E. Locke (1)
    Timothy F. Witham (1)

    1. Department of Neurosurgery, The Johns Hopkins Hospital, 1800 Orleans St., Room 6007, Baltimore, MD, 21287, USA
  • 刊物类别:Biomedical and Life Sciences
  • 刊物主题:Biomedicine
    Biomedicine
    Biomedical Engineering
    Biophysics and Biomedical Physics
    Mechanics
    Biochemistry
  • 出版者:Springer Netherlands
  • ISSN:1573-9686
文摘
Spinal fusion is one of the most commonly performed procedures for the treatment of spinal instability caused by a multitude of pathologies. However, despite significant advances in spinal instrumentation, failed fusion, or pseudoarthrosis, remains a significant challenge. Therefore, other additives such as bone graft extenders and growth factors have been explored as a method to augment fusion rates. Platelet-rich plasma (PRP) represents an additional approach, as it has shown some promise in bone regeneration. While the general use of PRP in orthopedic applications has been reviewed previously, its use in spinal fusion has not been systematically analyzed. The objective of this review is to systematically discuss the role of PRP in augmentation of bone regeneration for the purpose of spinal fusion. Background information on PRP, including a discussion of its preparation, activation, and growth factors, is included. Additionally, data from in vitro studies utilizing PRP in bone tissue engineering strategies is analyzed, and the available animal and clinical studies are systematically reviewed in order to provide guidance on future research pathways as well as the potential role of PRP in spinal fusion surgery.

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